MOIN M, FARHOUDI A, MOIN A. PAPILLON-LEFE'VRE SYNDROME: NEUTROPHIL MOTILITY AND KILLING DEFECT IN A CHILD WITH RECURRENT SEVERE INFECTIONS. Med J Islam Repub Iran 1997; 11 (2) :149-152
URL:
http://mjiri.iums.ac.ir/article-1-1122-en.html
From the Department of Clinical Immunology and Allergy, Children's Medical Center, Tehran University of Medical Sciences, Tehran
Abstract: (5243 Views)
A case of palmoplantar hyperkeratosis with periodontosis and a history of
recurrent severe pyoderma, pneumonia and multiple liver abscesses is described
in a 12 year old girl. The patient demonstrated neutrophil dysfunction characterized
by decreased random migration and chemotaxis and defective bactericidal activity.
The exact immunopathological mechanism for susceptibility to infections in
Papillon-Lefe'vre syndrome patients still remains to be determined. However, the
mode of clinical presentation, laboratory findings and response to retinoid treatment,
all support the speculation of Papillon-Lefe'vre syndrome as a primary immunologic
disease with a variable defect in neutrophil motility and bactericidal activity. The
pattern of clinical presentations as skin and periodontal lesions alone or with
susceptibility to infection in other sites will change accordingly.